Bleeding 2

A 27 year old nulliparous woman presents following three episodes of postcoital bleeding over one month. There was no pelvic pain, dyspareunia, vaginal discharge or dysuria.

Her menstrual cycles are regular, occurring every 30 days, while her medical history is unremarkable.

She has been with her current partner for two years.

She had undergone a routine pelvic examination and a pap smear 3 months ago, both of which were normal.

Select Relevant Investigations
Cervical Biopsy

Performed

The cervical biopsy shows diffuse inflammation. There is no evidence of neoplastic transformation.
GC + CT NAAT

Performed

C. Trachomatis: positive
N. Gonorrhoeae: negative
Transvaginal Ultrasound

Performed

The ultrasound scan shows no abnormalities.
Microscopy of Discharge

Performed

Microscopy of the cervical discharge shows marked leukorrhea. No atypical cells are noted.

Select Relevant Management
Oral Azithromycin
Pelvic Radiotherapy
Abstinence for 1 Month
Cervical Ablation